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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

September 2005
Volume 36 , Issue 8

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Apexogenesis of a symptomatic mandibular first permanent molar with calcium hydroxide pulpotomy

Ujwal R. Kontham, MDS/Amita M. Tiku, MDS/Satyawan G. Damle, MDS/Ritesh R. Kalaskar, MDS

Pages: 653657
PMID: 16161469

Vital pulp therapy of immature, symptomatic permanent posterior teeth presents a challenge in pediatric endodontics. A case report is presented in which cervical pulpotomy with calcium hydroxide was performed on a cariously exposed mandibular first permanent molar. The patient was seen every 3 months for a total of 18 months for a clinical and radiographic follow up. During the follow-up period, root development, as evidenced by root lengthening, was observed. Apical closure was evident at the end of 19 months. As the root canals showed a tendency toward calcification, root canal treatment was carried out, followed by restoration of the tooth with a stainless-steel crown. The success of this single-visit apexogenesis procedure supports the contention that young pulp possesses remarkable reparative capacity, as well as resistance to bacterial infection due to greater vascularity, and that apexogenesis with calcium hydroxide apical closure pulpotomy can be attempted for continued root development of symptomatic, vital, permanent teeth. (Quintessence Int 2005; 36:653657)

Key words: apexogenesis, calcium hydroxide, mandibular molar, open apex, pulpotomy, symptomatic, vital

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